Intersectionality in Accredited Orthopaedic Surgery Residency Programs 2010-2020

IF 2.3 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the National Medical Association Pub Date : 2025-09-01 DOI:10.1016/j.jnma.2025.08.063

Paige E. Cummings MD, Kareme Alder MD, Erick Marigi MD, Jonathan Barlow MD, Sanjeev Kakar MD, Krystin Hidden MD

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Abstract

Background

Among medical specialties, orthopaedic surgery residency consistently has the lowest racial/ethnic and gender diversity. Additionally, orthopaedic surgery has seen the slowest improvements in race/ethnic diversity when compared to other specialties. This study examined whether trends for intersectional race/ethnic and gender minority identity groups mimicked stratified trends for race/ethnicity and gender.

Methods

Data was obtained from the Association of American Medical Colleges (AAMC) special report including self-reported race/ethnic and gender identity of active orthopaedic residents from 2010 through 2020. Racial and ethnic groups included American Indian/Alaska Native (AIAN), Asian, Black, Hispanic, Latino, or of Spanish origin (HSLO), Native Hawaiian/Pacific Islander (NHPI), multiracial/other, and unknown. Trends in gender diversity across race/ethnic subgroups were analyzed over time.

Results

From 2010 to 2020, the percentage of trainees self-identifying as women in orthopaedic surgery residency programs increased by 4% with a corresponding decrease in trainees self-identifying as men (p < 0.001). Orthopaedic surgery observed a 1.7% increase in non-White residents from 2010 to 2020 (p = 0.009). Over the same period, the proportion of women among White trainees (13.0% to 17.0%; p < 0.001) and non-White trainees (14.2% to 17.5%; p = 0.007) significantly increased. However, the change in the non-White group was driven by Asian trainees who had a significant increase in women (13.1% to 17.8%; p = 0.003) while Black (19.9% to 19.6%; p = 0.306), HLSO (12.7% to 17.3%; p = 0.056), AIAN (12.5% to 16.7%; p = 0.875), NHPI (33.3% to 15.7%; p = 0.138), and Other cohorts (12% to 13.3%; p = 0.547) demonstrated no significant statistical changes

Conclusions

Orthopaedic surgery residency programs observed an increase in women trainees from 2010 to 2020, which was largely driven by an increase among White and Asian women. Meanwhile, current efforts to improve racial, ethnic, and gender diversity has not resulted in increased rates for Black, HLSO, AIAN, and NHPI women.

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2010-2020年认可的骨科住院医师项目的交叉性

在医学专业中，骨科住院医师的种族/民族和性别多样性一直最低。此外，与其他专业相比，骨科在种族/民族多样性方面的改善速度最慢。本研究考察了种族/民族和性别少数群体的交叉趋势是否模仿了种族/民族和性别的分层趋势。方法数据来源于美国医学院协会（AAMC） 2010 - 2020年骨科住院医师自我报告的种族/民族和性别认同。种族和民族群体包括美国印第安人/阿拉斯加原住民（AIAN）、亚洲人、黑人、西班牙裔、拉丁裔或西班牙裔（HSLO）、夏威夷原住民/太平洋岛民（NHPI）、多种族/其他和未知。随着时间的推移，分析了种族/民族亚群体性别多样性的趋势。结果从2010年到2020年，在骨科住院医师项目中，自我认同为女性的学员比例上升了4%，自我认同为男性的学员比例相应下降（p < 0.001）。从2010年到2020年，非白人居民接受骨科手术的人数增加了1.7% （p = 0.009）。在同一时期，白人受训者（13.0%至17.0%;p < 0.001）和非白人受训者（14.2%至17.5%;p = 0.007）中的女性比例显著增加。然而,非白人组的变化是由亚洲女性学员有显著增加(13.1%至17.8%;p = 0.003)而黑人(19.9%至19.6%;p = 0.306),单(12.7%至17.3%;p = 0.056),禽流感(12.5%至16.7%;p = 0.875),NHPI(33.3%至15.7%;p = 0.138),和其他组(12%,13.3%;p = 0.547)没有显著的统计学变化。结论从2010年到2020年，整形外科住院医师项目观察到女性受训人员的增加，这主要是由于白人和亚洲女性的增加。同时，目前改善种族、民族和性别多样性的努力并没有导致黑人、HLSO、AIAN和NHPI妇女的发病率增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the National Medical Association 医学-医学：内科

CiteScore

4.80

自引率

3.00%

发文量

139

审稿时长

98 days

期刊介绍： Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.